SPCC Inspection
ASE Safety Management System
Site Name
Input legal name as posted on entrance sign
Date:
-
Month
-
Day
Year
Date
Person Conducting Incpection:
First Name
Last Name
Email:
example@example.com
The following observations were made:
Rows
Yes
No
Comment?
Tank surfaces show signs of leakage
Tanks are damaged, rusted, or deteriorated
Bolts, rivets, or seams are damaged
Tank supports are deteriorated or buckled
Tank foundations have eroded or settled
Tank level gauges or alarms are inoperative
Tank vents are obstructed
Tank valve seals or gaskets are leaking
Loading/unloading area is damaged or deteriorated
Loading drip pans are damaged or not present
Transfer piping is damaged or leaking
Transfer connections are not capped or blank-flanged
Secondary containment dike is damaged or stained
Secondary containment valve is damaged
Secondary containment valve is open
Secondary containment valve is not locked
Pumping well polish rod stuffing box leaking
Flow-line shows corrosion at soil interface
Flow-line shows evidence of leaks or oil discharges
Flow-line supports are damaged or deteriorated
Flow-line flange joints are damaged or deteriorated
Additional Remarks:
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